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Medical Staff Peer Review and Performance Improvement Specialist (Full-Time, 40, Day Shift)

Job

The Queens Health Systems

Honolulu, HI (In Person)

Full-Time

Posted 5 weeks ago (Updated 1 week ago) • Actively hiring

Expires 7/27/2026

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Job Description

RESPONSIBILITIES I. JOB SUMMARY
Facilitates peer review and performance improvement activities (case review, professionalism review, practitioner health, OPPE reports) for the Medical Staff in accordance with the mission of The Queen's Health Systems (QHS). Produces reports for the medical staff reappointment process. Facilitates activities of the Professional Practice Evaluation Committee (PPEC) and Leadership Council. Meets requirements of regulatory and accreditation agencies.
II. TYPICAL PHYSICAL DEMANDS
A.
ESSENTIAL FUNCTIONS
Seeing. Hearing. Speaking. Finger Dexterity.
B. MANUAL MATERIAL HANDLING
Infrequent:
Lift waist to shoulder between 6-10 lbs. Carry between 6-10 lbs. Push and Pull between 6-10 lbs.
Occasional:
N/A Frequent:
N/A Constant:
N/A C. NON-MANUAL MATERIAL HANDLING
Infrequent:
Stoop/Bend. Kneel.
Climb:
Stairs/Ladder.
Reach:
shoulder level.
Occasional:
Stand. Walk.
Frequent:
N/A Constant:
Sit.
III. TYPICAL WORKING CONDITIONS
Not substantially subjected to adverse environmental conditions. Work environment may be stressful due to workload.
IV. MINIMUM QUALIFICATIONS
A.
EDUCATION
Bachelor's degree required, preferably in a health care related field; or four (4) years of progressive experience in healthcare may be substituted for the educational requirement.
B. CERTIFICATION AND LICENSURE
No certification and/or licensure requirement.
C. EXPERIENCE
In addition to the educational requirement, one (1) year of medical staff peer review and performance improvement experience in a healthcare facility; or two (2) years of clinical experience. Knowledge of regulatory and licensing agency standards, medical staff bylaws, and rules/regulations. Ability to interpret and apply guidelines and procedures. Knowledge and skill in data collection, data entry, data analysis, data presentation and reporting. Skill in establishing and maintaining effective working relationships with staff, physicians, consultants, hospital committees, administrators, and staff. Ability to communicate effectively both orally and in writing with all levels throughout the organization. Proficiency with Microsoft office applications, i.e. Word, Excel, Outlook, etc. Prior experience in medical staff credentialing/reappointment preferred. Equal Opportunity Employer / Disability / Vet Your Health.
Our Legacy Our Mission:
To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai'i.
Our Values:
Compassion guides our actions Aloha inspires us in all that we do Respect and understanding are essential for the dignity of all Excellence is our quest